{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T04:01:48Z","timestamp":1776830508963,"version":"3.51.2"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,10,11]],"date-time":"2022-10-11T00:00:00Z","timestamp":1665446400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>We present a case of a 12.5-year-old girl who has suffered from recurrent urinary tract infections for many years but has never undergone a detailed diagnostic process. Only as a teenager did she complain of acute pain in her lower abdomen and it turned out that her genital organs had not properly developed. She had an obstructive defect in the reproductive tract. When there was a significant amount of discharge collected in the lumen of the genital tract and the organs had distended, acute pain appeared, which allowed us to make the diagnosis. In the diagnostic process, transperineal ultrasonography turned out to be extremely helpful, allowing us to establish the type and thickness of the obstruction. The patient underwent excision of transverse vaginal septum, and postoperative silicon dilators were used to prevent the recurrence of the obstruction. There was no recurrence of urinary infection or complications during the 11\u00a0months of follow-up.<\/jats:p>","DOI":"10.3389\/fsurg.2022.869152","type":"journal-article","created":{"date-parts":[[2022,10,11]],"date-time":"2022-10-11T10:57:39Z","timestamp":1665485859000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Case report: Hydrometrocolpos conditioning recurrent urinary tract infections"],"prefix":"10.3389","volume":"9","author":[{"given":"Ewelina","family":"Malanowska","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariola","family":"Krzy\u015bcin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elzbieta","family":"Sowi\u0144ska-Przepiera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrzej","family":"Starczewski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadeusz","family":"Sulikowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Balzarro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emanuele","family":"Rubilotta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,10,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"963","DOI":"10.1007\/s00383-019-04512-2","article-title":"Vaginal reconstruction for distal vaginal atresia without anorectal malformation: is the approach different?","volume":"35","author":"Bischoff","year":"2019","journal-title":"Pediatr Surg Int"},{"key":"B2","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1016\/j.jpurol.2021.01.037","article-title":"Update of the EAU\/ESPU guidelines on urinary tract infections in children","volume":"17","author":"\u2018t Hoen","year":"2021","journal-title":"J Pediatr Urol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"458","DOI":"10.31128\/AJGP-03-21-5922","article-title":"Management of paediatric recurrent tract infections and challenges in special patient populations","volume":"50","author":"Petcu","year":"2021","journal-title":"Aust J Gen Pract"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e7","DOI":"10.1016\/j.jpag.2016.08.007","article-title":"A case of distal vaginal agenesis presenting with recurrent urinary tract infection and pyuria in a prepubertal girl","volume":"30","author":"Dural","year":"2017","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"B5","doi-asserted-by":"publisher","first-page":"20170326","DOI":"10.1259\/bjr.20170326","article-title":"Surface transperineal ultrasound and vaginal abnormalities: applications and strengths","volume":"90","author":"Hamed","year":"2017","journal-title":"Br J Radiol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"207","DOI":"10.4103\/0971-9261.214451","article-title":"Imperforate hymen: varied presentation, new associations, and management","volume":"22","author":"Ramareddy","year":"2017","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e136","DOI":"10.1097\/PEC.0000000000001528","article-title":"Cyclical abdomianl pain in an adolescent female: a case report of agenesis of the lower vagina","volume":"34","author":"Kelly","year":"2018","journal-title":"Pediatr Emerg Care"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e35","DOI":"10.1097\/AOG.0000000000002458","article-title":"ACOG Committee Opinion No. 728: M\u00fcllerian agenesis: diagnosis, management, and treatment","volume":"131","year":"2018","journal-title":"Obstet Gynecol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1080\/09513590.2019.1588875","article-title":"MRI features and differential diagnoses of congenital vaginal atresia","volume":"35","author":"Xu","year":"2019","journal-title":"Gynecol Endocrinol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.jpag.2010.08.016","article-title":"Congenital vaginal obstruction in neonates and infants: recognition and management","volume":"24","author":"Ameh","year":"2011","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"209","DOI":"10.12891\/ceog2036.2016","article-title":"Complete longitudinal vaginal septum resection. 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